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目的 探讨输卵管结扎术和子宫内膜异位症的关系。方法 回顾性分析我院近 8年来输卵管结扎术后腹腔镜检查确诊为子宫内膜异位症 68例患者的临床资料。结果 不同的输卵管结扎方法术后均有可能并发子宫内膜异位症 ,5 3 %的患者有典型的子宫内膜异位症的临床表现 ,结扎后出现腹腔瘘的患者 14 7%合并子宫内膜异位症。结论 输卵管结扎术后出现腹痛、痛经和盆腔包块时应及时行腹腔镜检查以利子宫内膜异位症的早期诊治。
Objective To investigate the relationship between tubal ligation and endometriosis. Methods The clinical data of 68 patients with endometriosis confirmed by laparoscopy after tubal ligation in our hospital for the past 8 years were retrospectively analyzed. Results Different methods of tubal ligation are likely to cause endometriosis postoperatively, with typical clinical manifestations of endometriosis in 53% of patients, and 14.7% of patients with celiac fistula after ligation combined with intrauterine Membrane dysplasia. Conclusions After tubal ligation, abdominal pain, dysmenorrhea and pelvic masses should be timely laparoscopy to facilitate the early diagnosis and treatment of endometriosis.